Appeals and State Hearings
Appeals and State Hearings
Revision of existing policy and/or form(s).
Changes are shown highlighted in gray throughout the document.
The Appeals and State Hearings Section is responsible for the review of the appropriateness of each State Hearing request to determine if it can be resolved at the lowest possible administrative level without a hearing, while also protecting the claimant’s due process rights.
The claimant or authorized representative (AR) may withdraw their State Hearing request any time before a hearing decision is adopted and signed by the California Department of Social Services (CDSS) Director or their designee. A withdrawal may be unconditional (straight withdrawal [WD]) or conditional.
Such withdrawal shall be submitted in writing. If the claimant has orally withdrawn the hearing request prior to the hearing, and such withdrawal is straight with no conditions, CDSS’ State Hearing Division (SHD) will send the claimant/Authorized Representative (AR) a letter confirming the withdrawal of the request. The letter shall serve as the written withdrawal. The hearing request will be considered withdrawn unless SHD receives notice, either in writing or verbally, within 15 calendar days from the date the withdrawal confirmation letter is mailed, stating that the claimant does not wish to withdraw the request.
If the action or inaction for which a State Hearing was requested is incorrect, a Conditional Withdrawal (CWD) is negotiated with the claimant and the County will be bound by the agreement to make the correction within 30 calendar days from the date the signed Withdrawal Request for Hearing form (DPA 315) is received by the County or the day the withdrawal is confirmed by the State. This confirmed CWD agreed upon action, alleviates the need for a State Hearing.
With the implementation of CDSS’ Appeals Case Management System (ACMS) (September 17, 2018), the process to confirm both WDs and CWDs was expanded to include CDSS’ Interactive Voice Response (IVR) system.
If the claimant/AR doesn’t confirm a WD or CWD via the IVR, or ACMS or provides written confirmation (signed DPA 315) before the hearing day, the case will proceed to the hearing phase.
Reference: CDSS Manual of Policies and Procedures (MPP) 22-054.2.
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Abandonment
If the claimant/AR fails to appear at the scheduled hearing, the request for hearing will be considered abandoned and a written decision will be issued dismissing the claim.
If good cause is established for not attending the hearing, the claimant/AR has the right to request to set aside the dismissal decision and have a new hearing. The request must be made within 30 calendar days the dismissal decision is mailed to the claimant/AR.
Good Cause
The criteria for good cause shall include but is not limited to the following: The failure of the claimant to receive notice of the time and place of the hearing. The notice of the time and place of the hearing shall be mailed to the claimant’s last known address and good cause shall not be established if the claimant failed to notify the County of any change of address while the appeal was pending.
Appeals Case Management System (ACMS)
System used by the SHD to track all State Hearing requests. It is used by the County, State, the claimant/AR to request, review, and update the State Hearing status.
Reference: ASH 009 ACMS Guidelines
Conditional Withdrawal (CWD)
An agreement reached between the County and the claimant/AR whereby the County agrees to take specific corrective actions within 30 calendar days from the date the agreement is signed by both parties, to resolve any issue(s) in dispute and the claimant/AR agrees to withdraw the hearing request.
Dismissal
Reasons an appeal is dismissed may include but are not limited to the following: The appealed issue is outside the jurisdiction of the California Department of Social Services (CDSS) State Hearing process, the claimant failed to appear to the scheduled State Hearing, or the time limit for requesting a State Hearing was not met; no formal decision is rendered on the merits of the appealed issue.
Straight Withdrawal (WD)
The claimant/AR cancels the hearing request because their issues are resolved (either the County’s action has been corrected, or the action was originally correct) and the claimant/AR is satisfied with the County’s action. Upon confirmation from the State, the hearing request will be immediately dismissed.
The claimant may request a straight WD of their hearing request. Some of the reasons include but are not limited to:
The claimant may agree to a CWD. Some of the reasons include, but are not limited to:
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